No records
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153 |
Wahyudi M., Satria O., Prawirodihardjo B., Zulhandani M. |
57053464800;57196472120;57212305700;57265047500; |
Periosteal ostoesarcoma of the femur treated with modified capanna procedure: A case report |
2021 |
International Journal of Surgery Case Reports |
87 |
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106414 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85115265650&doi=10.1016%2fj.ijscr.2021.106414&partnerID=40&md5=f8bb94e201a4ad8fb7d73fc479c1b541 |
Orthopaedic Oncology Consultant, Department of Orthopaedic and Traumatology, Fatmawati General Hospital Jakarta, Indonesia; Hand and Microsurgery Consultant, Department of Orthopaedic and Traumatology, Fatmawati General Hospital Jakarta, Indonesia; Anatomic Pathologist, Department of Anatomical Pathology, Fatmawati General Hospital Jakarta, Indonesia; Orthopaedic and Traumatology Resident, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia |
Wahyudi, M., Orthopaedic Oncology Consultant, Department of Orthopaedic and Traumatology, Fatmawati General Hospital Jakarta, Indonesia; Satria, O., Hand and Microsurgery Consultant, Department of Orthopaedic and Traumatology, Fatmawati General Hospital Jakarta, Indonesia; Prawirodihardjo, B., Anatomic Pathologist, Department of Anatomical Pathology, Fatmawati General Hospital Jakarta, Indonesia; Zulhandani, M., Orthopaedic and Traumatology Resident, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia |
Introduction: Periosteal osteosarcoma is a rare type of primary bone tumor. A vascularized fibula graft incorporates this revolutionary approach with a traditional massive allograft to reconstruct large femur and tibia defects during oncological resection. A structurally competent reconstruction with improved vascular and osteogenic capacities with the ability to achieve lower rates of fracture, infection, and non-union is obtained by integrating the benefits of the separate components. Method: A 16-year-old female diagnosed with periosteal osteosarcoma of the left shaft femur. We performed neoadjuvant chemotherapy, limb salvage surgery consists of surgical resection and reconstruction, followed by adjuvant chemotherapy post operatively. We used Capanna procedure to salvage the femur. Result: Post-operative evaluation showed stable fixation clinically and radiologically. There is no complications observed during recovery, as both distal motor and sensory are normal eventhough the patient were still limited in the motion of the hip and knee at the time due to post-operative pain. Discussion: Cappana procedure has been known as a novel surgical method that could decrease the risk of complications results from classic reconstruction method, such as fracture, non-union, and infection. Conclusion: Modified Cappana procedure which introduce the use liquid nitorgen-recycled autograft from the resected affected bone as a peripheral shell supporting a centrally placed vascularized fibular graft to fill the massive bone defect left by surgical resection, had successfully performed in our patient whom previously diagnosed with periosteal osteosarcoma of femoral shaft. © 2021 |
Modified Capanna procedure; Periosteal osteosarcoma; Vascularized fibular graft |
cisplatin; doxorubicin; ifosfamide; mesna; adjuvant chemotherapy; adolescent; Article; bone defect; bone graft; capanna procedure; case report; clinical article; female; femur; follow up; hemosiderin laden macrophage; hip; histopathology; human; human tissue; knee; limb salvage; long term survival; mitosis rate; neoadjuvant chemotherapy; nuclear magnetic resonance imaging; open biopsy; osteosarcoma; pain; periosteum; physical examination; postoperative pain; radiodiagnosis; range of motion; saphenous nerve; superficial femoral artery; supine position; surgical technique; thigh |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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207 |
Kartini D., Panigoro S.S., Ham M.F., Harahap A.S., Rasyid S.H., Marcevianto K.V. |
57215490523;56790104300;57257336600;57218511857;57224779056;57256764400; |
Thyroid hemiagenesis associated with Hurthle cell carcinoma: A case report |
2021 |
International Journal of Surgery Case Reports |
86 |
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106372 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85114820796&doi=10.1016%2fj.ijscr.2021.106372&partnerID=40&md5=a842dbe995f6b1a20d9b986dad8aad97 |
Surgical Oncology Division, Department of Surgery, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Indonesia; Department of Pathological Anatomy, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Indonesia |
Kartini, D., Surgical Oncology Division, Department of Surgery, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Indonesia; Panigoro, S.S., Surgical Oncology Division, Department of Surgery, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Indonesia; Ham, M.F., Department of Pathological Anatomy, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Indonesia; Harahap, A.S., Department of Pathological Anatomy, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Indonesia; Rasyid, S.H., Surgical Oncology Division, Department of Surgery, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Indonesia; Marcevianto, K.V., Surgical Oncology Division, Department of Surgery, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Indonesia |
Introduction and importance: Thyroid hemiagenesis (TH) is a rare congenital anomaly where one lobe fails to develop, especially more frequently occurs on the left lobe. The exact mechanisms for thyroid morphogenesis remain unclear. In this paper, we report a rare case of right lobe TH associated with Hurthle cell carcinoma. Case presentation: A 59 years old woman was admitted with a neck lump increasing in size in the last 20 years. There were no symptoms of hyperthyroidism and hypothyroidism. There was a palpable, painless 5 cm mass in the middle of the neck. Initial thyroid ultrasonography (USG) revealed an enlarged left lobe, with hypoechoic lesion with cystic component and calcification (TIRADS 4). However, the right lobe was non-visualized. Fine needle aspiration biopsy result tendency was a malignancy. Hence, isthmolobectomy was conducted. Pathology result was Hurthle cell carcinoma. On the ninth month, USG revealed fibrotic tissue in the right thyroid bed and bilateral lymphadenopathy. Due to discrepancy, the patient was planned for a neck exploration surgery and a right lobe incision. Intraoperatively, the right thyroid was absent. Intraoperative USG also confirmed no right thyroid lobe. Discussion: Thyroid hemiagenesis can be visualized by using USG due to its practicality and cost effectiveness reasons. Follow up evaluations consisted of systematic monitoring of thyroid morphology and hormonal functions should follow the diagnosis of TH. Neck exploration surgery might need to be performed to clarify any discrepancy and confirm the diagnosis. Conclusion: TH can be recognized through supporting examination; however, discrepancy may occur. © 2021 The Authors |
Hurthle cell carcinoma; Neck exploration surgery; Thyroid hemiagenesis |
euthyrax; levothyroxine sodium; thyroglobulin; adult; Article; calcification; cancer diagnosis; cancer size; cancer surgery; case report; clinical article; color Doppler flowmetry; echography; female; fine needle aspiration biopsy; frozen section; histopathology; human; human tissue; incision; isthmolobectomy; lobectomy; lymph node; lymphadenopathy; middle aged; neck; neck tumor; parathyroid gland; physical examination; recurrent laryngeal nerve; thyroglobulin blood level; thyroid carcinoma; thyroid dysgenesis; thyroid hemiagenesis; thyroid lobe; thyroid parafollicular cell; thyroid surgery; vascularization; vein ligation |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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249 |
Kamal A.F., Ramang D.S. |
56648996700;57195942455; |
A simple management of massive bone defect after en-bloc resection of osteofibrous dysplasia of tibial shaft: A case report |
2021 |
International Journal of Surgery Case Reports |
85 |
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106213 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85111724269&doi=10.1016%2fj.ijscr.2021.106213&partnerID=40&md5=fd1f09e882e103495b845ed8ef9477e1 |
Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia |
Kamal, A.F., Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Ramang, D.S., Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia |
Introduction: Osteofibrous dysplasia is a relatively rare disease, exclusively found in children, affecting the tibial diaphysis. Various management approaches are already available, but an internationally approved management guideline is not yet established. There is a major concern in the current management of wide excision technique as it frequently results in massive bone defect. Case presentation: Here we present a case of osteofibrous dysplasia on a 10-year-old girl in Cipto Mangunkusumo Hospital with chief complaint of mild persistent pain of her lower leg since two years before with slight bowing deformity. The radiograph and histopathological examination support the diagnosis of osteofibrous dysplasia. She was managed with en-bloc resection (wide excision) of the tumor, followed with reconstruction using biomaterials substitute; combination between demineralized bone matrix (BonegenerR) and bone substitute “hydroxyapatite and calcium sulphate” and internal fixation using plate and screw. Results: Clinical and radiological evaluation showed successful improvement and outcome. The patient showed progressive functional outcomes and achieved functional score of 100% LEFS at 3 years follow-up. The plate and screw was removed at 48 weeks after adequate callus formation andradiological union was achieved. Conclusion: Simple reconstruction using biomaterial bone substitute not only created new bone formation with good stability, but also enabled patient to have an improved quality of life. This method is recommended to overcome the massive bone defect after tumor resection in osteofibrous dysplasia patient. © 2021 The Author(s) |
Biomaterial; Massive bone defect; Osteofibrous dyplasia; Wide excision |
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Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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251 |
Purwoto G., Surya I.U., Saroyo Y.B., Rustamadji P., Harzif A.K. |
14720170400;57226288663;57164888400;55321572200;57191493435; |
Massive obstetric haemorrhage on post caesarean subtotal hysterectomy due to late detection of occult placenta percreta: A case report |
2021 |
International Journal of Surgery Case Reports |
85 |
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106225 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85111073049&doi=10.1016%2fj.ijscr.2021.106225&partnerID=40&md5=8fb12792281a054a4a64365989402d15 |
Department of Obstetric and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Indonesia; Department Anatomical Pathology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo, Indonesia |
Purwoto, G., Department of Obstetric and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Indonesia; Surya, I.U., Department of Obstetric and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Indonesia; Saroyo, Y.B., Department of Obstetric and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Indonesia; Rustamadji, P., Department Anatomical Pathology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo, Indonesia; Harzif, A.K., Department of Obstetric and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Indonesia |
Introduction: Placenta accreta syndrome is a significant cause of maternal mortality and morbidity. Therefore, a multidiscipline approach is essential to overcome this life-threatening disorder for the mother and fetus. Presentation of case: A 32-year-old women gravida 3 parity 2, 34 weeks gestation come due to recurrent antepartum haemorrhage. She had twice prior caesarean section. Ultrasound assessment suggests total placenta previa and elevating suspicion to placenta accreta. However, intraoperatively its sign is unavailable. Although we have done subtotal hysterectomy, massive bleeding still occurring. Therefore, we present management of unexpected placenta percreta. Discussion: Management of unexpected placenta percreta involves prenatal diagnosis, haemoglobin optimization, surgical management anticipating haemorrhage, dedicated maternal ICU, blood bank providing massive transfusion and blood component. Conclusion: Close monitoring is important in catastrophe management of Placenta Accreta Syndrome. © 2021 The Authors |
Case report; Focal placenta accreta; Hypogastric artery ligation; Placenta previa; Villi chorion |
C reactive protein; creatinine; fresh frozen plasma; hemoglobin; procalcitonin; thrombocyte concentrate; urea; adult; amnion fluid; antepartum hemorrhage; artery ligation; Article; blood cell count; breech presentation; broad ligament; case report; cervicotomy; cesarean section; clinical article; diastolic blood pressure; dissection; echography; emergency surgery; erythrocyte count; erythrocyte transfusion; female; fetus heart rate; fetus weight; follow up; hematocrit; hemoglobin blood level; human; hysterectomy; internal iliac artery; intraoperative period; laparotomy; leukocyte count; neutrophil lymphocyte ratio; placenta accreta; placenta previa; plasma transfusion; recurrent disease; round ligament; systolic blood pressure; umbilical artery; uterine atony; uterus contraction; vagina bl |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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254 |
Wahyudi M., Alaztha Z. |
57053464800;57219572320; |
Chondrosarcoma arising in monostotic fibrous dysplasia treated with total femur resection and megaprothesis: A case report |
2021 |
International Journal of Surgery Case Reports |
85 |
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106194 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85110717734&doi=10.1016%2fj.ijscr.2021.106194&partnerID=40&md5=45372bc574217c458407b12ac52c18ba |
Department of Orthopaedic and Traumatology, Fatmawati General Hospital, Indonesia; Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Indonesia |
Wahyudi, M., Department of Orthopaedic and Traumatology, Fatmawati General Hospital, Indonesia; Alaztha, Z., Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Indonesia |
Introduction: Fibrous dysplasia is tumor like lesions of bone which develop as substitution of bone by an expansion of fibrous connective tissue mixed with hard trabeculae. Chondrosarcomas is one of common malignant primary bone tumor derived from heterogenous group of neoplasm producing chondroid matrix. Chondrosarcoma arising in fibrous dysplasia, especially in monostotic fibrous dysplasia is a very rare case. Case report: A 54-year-old male presented with chief complaint of pain on left thigh. Patient with history of pathological fracture on left femoral diaphysis 3 years ago due to fibrous dysplasia and had underwent curettage, open reduction, and internal fixation at other hospital. Plain radiography revealed expansive lytic lesion, interrupted periosteal reaction with plate and screw attached to the lesion, and soft tissue mass. MRI T2FS sequence showed hyperintense mass extending from subtrochanteric to distal of left femoral diaphysis. Histopathological result from biopsy suggested chondrosarcoma. Conclusions: Malignant transformation of monostotic type was less frequently compared to polyostotic type. Among all malignant transformation cases, alteration to chondrosarcoma was more scarce than other malignancy such as osteosarcoma and fibrosarcoma. Wide surgical margin and reconstruction in chondrosarcoma provide good local control and functional outcome. © 2021 The Authors |
Chondrosarcoma; Malignant transformation; Monostotic fibrous dysplasia; Total femur resection |
polyethylene terephthalate; abduction; adult; anamnesis; Article; blood examination; bone biopsy; bone radiography; cancer surgery; cartilage matrix; case report; chondrocyte; chondrosarcoma; clinical article; curettage; femoral shaft; femoral vein; femur; femur diaphysis; femur fracture; femur shaft fracture; follow up; general hospital; greater trochanter; histopathology; human; human cell; incision; laboratory; leg pain; length of stay; male; middle aged; monostotic fibrous dysplasia; nuclear magnetic resonance imaging; open fracture reduction; operative blood loss; orthopedic surgery; osteosynthesis; pathologic fracture; physical examination; psoas muscle; rectus femoris muscle; sartorius muscle; superficial femoral artery; supine position; surgical margin; thigh; tibial tuberosity; va |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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255 |
Surachman A.J.D., Yanuarso, Akbar D.L. |
57222404106;57222408215;57219271823; |
Corrigendum to “Emergency decompression and stabilization of 1st thoracic spinal cord injury and sacral fracture in a Covid-19 patient: A case report” [Int. J. Surg. 81 (2021) 105670] (International Journal of Surgery Case Reports (2021) 81, (S221026122100170X), (10.1016/j.ijscr.2021.105670)) |
2021 |
International Journal of Surgery Case Reports |
85 |
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106162 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85110716581&doi=10.1016%2fj.ijscr.2021.106162&partnerID=40&md5=d755a2c74f6f517c9ab61ce17d1d60b7 |
Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo National Central General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
Surachman, A.J.D., Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Yanuarso, Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Akbar, D.L., Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo National Central General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
The authors regret: [1] The published sentence should have read: “For the pubic diastasis, we did not put any fixation since the diastasis was 1 cm (Fig. 4). When we did the follow up, there was unstable on the diastasis, then we did internal fixation on it and the result of the post surgery was evaluated by pelvic radiograph (Fig. 5) [9].” [2] Fig. 5 should have been published as follows: [3] The authors wish to add the following acknowledgement: “Nadya Zaragita, resident of neurosurgery department of Faculty of Medicine, Universitas Indonesia for making illustration of sacral fracture fixation method.” The authors would like to apologise for any inconvenience caused. © 2021 |
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erratum |
Elsevier Ltd |
22102612 |
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Erratum |
Q3 |
232 |
17549 |
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257 |
Moegni F., Kouwagam A.D. |
55450456100;57225978823; |
Secondary pyosalpinx after reconstructive surgery of vaginal agenesis patient with bilateral hematosalpinx: A case report |
2021 |
International Journal of Surgery Case Reports |
85 |
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106166 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109875443&doi=10.1016%2fj.ijscr.2021.106166&partnerID=40&md5=3efbc39e25d5804ce8b775670c949c8c |
Urogynecology and Reconstruction Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Moegni, F., Urogynecology and Reconstruction Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Kouwagam, A.D., Urogynecology and Reconstruction Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Introduction and importance: Congenital or hypoplasia vaginal agenesis is a very rare condition caused by the failure of developmental Mullerian ducts. The prevalence is 0.001%–0.025% populations. This condition often misdiagnosed because the symptom does not appear. Acute symptoms such as abdominal pain may occur due to the obstruction of retrograde menstrual flow. In this case, we presented a case complex management of vaginal atresia with pyosalpinx, hematometra and bilateral hematosalpinx. Presentation of case: A 12 years old teenager, non-sexually active, complained cyclic abdominal pain that worsening in seven months before admission. Patient never had menstrual blood flow during her life. Patient was diagnosed with hematometra, hematocolpos, bilateral hematosalpinx and distal vaginal agenesis. Amnion graft neovagina was performed. Five days after surgery, patient started to have fever. On the seventh days after surgery, amnion graft was removed. The next two days patient still had fever. Because of continuous fever, patient was test of COVID 19. The result was positive. On the eleventh days after the first surgery, patient complained abdominal pain VAS 3–4. Patient was diagnosed with pyosalpinx by ultrasound examination. Laparotomy was done performing adhesiolysis, bilateral salpingectomy, and omentectomy. Discussion: In our case vaginal reconstruction surgery from vaginal approach has been done without management of the bilateral hematosalpinx because the consideration of small caliber of bilateral hematosalpinx. But then complications were developed when vaginal canal was opened, bilateral hematosalpinx were transformed into bilateral pyosalpinx and continue to developed into bilateral tubal abscess. We assume during this process, the bacteria from vagina could fastly infecting the blood and transformed it into pus and grew until tubal abscess. Conclusion: The surgical intervention in vaginal agenesis must be considered as a treatment and not only focus on the reconstruction. Laparoscopy or laparotomy may offered as options for combination treatment with vaginal approach reconstructive surgery for vaginal agenesis with obstruction complications such as hematometra and hematosalpinx to prevent the worst condition like ascending infection or misdiagnosed other severe conditions. © 2021 The Authors |
Case report; Hematosalpinx complication; Neovagina; Secondary pyosalpinx; Vaginal agenesis |
antibiotic agent; abdominal pain; abscess; adhesiolysis; amnion graft neovagina; antibiotic therapy; Article; bilateral hematosalpinx; bilateral tubal abscess; case report; child; clinical article; coronavirus disease 2019; echography; female; fever; hematocolpos; hematometra; human; laparotomy; omentectomy; primary amenorrhea; salpingectomy; school child; secondary pyosalpinx; surgical technique; uterine tube disease; vagina aplasia; vagina reconstruction; visual analog scale |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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312 |
Mantiri B.J., Sigumonrong Y. |
57211646737;57209291346; |
Bilateral adrenal tumor: A case report and current challenges |
2021 |
International Journal of Surgery Case Reports |
84 |
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106134 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109442036&doi=10.1016%2fj.ijscr.2021.106134&partnerID=40&md5=6e73ca95877115564bd2d8829933ec42 |
Urology Resident of Urology Department, Faculty of Medicine, Universitas Indonesia - H. Adam Malik Hospital, Medan, Indonesia; Urology Consultant of Urology Department, Faculty of Medicine, Universitas Indonesia - H. Adam Malik Hospital, Medan, Indonesia |
Mantiri, B.J., Urology Resident of Urology Department, Faculty of Medicine, Universitas Indonesia - H. Adam Malik Hospital, Medan, Indonesia; Sigumonrong, Y., Urology Consultant of Urology Department, Faculty of Medicine, Universitas Indonesia - H. Adam Malik Hospital, Medan, Indonesia |
Introduction: A bilateral adrenal tumor is a rare case. It differs significantly from unilateral adrenal mass since it is related strongly to genetic and family history. Adrenocortical Carcinoma might cause related hormonal syndromes such as Cushing syndrome, Conn syndrome, and virilization. Aim: This study aims to report an uncommon presentation of a 15-year-old female with bilateral Adrenal Tumor since an early age with virilization as the main symptoms. Case presentation: The patient is a 15-year-old girl with female genitalia presentation. She complained of a bulging mass on her right flank with pain four years ago. The mass size grew progressively and initially painless. However, the patient started to feel pain a year ago. Since she was six years old, the mass started to appear on the left flank, and then it also started to appear on the right side. The mass appearance is simultaneous with virilization symptom development, such as the emergence of facial hair, mustache, and sideburns. In 2020, MRI showed a lesion on the right suprarenal with contrast enhancement with 14.5 × 11.5 cm in size, and a 5.6 × 4 cm recurrent left suprarenal lesion. The patient underwent right adrenalectomy resection surgery on January 21st, 2021. The immunohistochemistry examination suggested Adrenocortical Carcinoma. Conclusion: Adrenocortical Carcinoma is a hormone-secreting tumor that might affect the patient's condition systematically. Neglected cases of adrenal cortical carcinoma might affect secondary sexual organ development in the long term. Thus, an early diagnosis and treatment are paramount for this case. © 2021 |
Adrenalectomy; Bilateral adrenocortical carcinoma; Virilization |
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Elsevier Ltd |
22102612 |
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232 |
17549 |
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313 |
Rahayatri T.H., Amaliah R., Putri N.M., Puspaningtyas N.W., Karyanti M.R., Hendarto A. |
57188549965;57224001785;57192904294;57223288515;56290680800;57204142249; |
Omphalopagus conjoined twins separation during coronavirus disease-19 pandemic era: A case report |
2021 |
International Journal of Surgery Case Reports |
84 |
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106150 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109424878&doi=10.1016%2fj.ijscr.2021.106150&partnerID=40&md5=a376a2af0ee2eeb9a9da557e67166686 |
Faculty of Medicine, Universitas Indonesia, Pediatric Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Faculty of Medicine, Universitas Indonesia, Plastic Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Faculty of Medicine, Universitas Indonesia, Pediatric Intensive Care Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Faculty of Medicine, Universitas Indonesia, Pediatric Infectious and Tropical Disease Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Faculty of Medicine, Universitas Indonesia, Pediatric Nutrition and Metabolic Disease Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Rahayatri, T.H., Faculty of Medicine, Universitas Indonesia, Pediatric Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Amaliah, R., Faculty of Medicine, Universitas Indonesia, Pediatric Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Putri, N.M., Faculty of Medicine, Universitas Indonesia, Plastic Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Puspaningtyas, N.W., Faculty of Medicine, Universitas Indonesia, Pediatric Intensive Care Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Karyanti, M.R., Faculty of Medicine, Universitas Indonesia, Pediatric Infectious and Tropical Disease Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Hendarto, A., Faculty of Medicine, Universitas Indonesia, Pediatric Nutrition and Metabolic Disease Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Introduction and importance: Conjoined twin is a rare congenital anomaly characterized by a fusion of certain anatomical structures. Coronavirus-19 (COVID-19) is a new emerging infectious respiratory disease affecting worldwide and potentially leads to acute respiratory distress (ARDS) in children. COVID-19 has reconstructed the healthcare system, including surgical care and decision-making. Case presentation: Herein we describe a surgical separation of 2.5 months old omphalopagus conjoined twins, with one of them (Baby A) presenting COVID-19-associated respiratory distress, as well as the challenges faced during the preparation and the execution of the complex surgical procedure. Clinical discussion: Baby A underwent antiviral therapy, oxygen supplementation, and ventilation in the ICU, while baby B remained stable and confirmed negative for SARS-CoV-2. The separation surgery was conducted after baby A had become clinically stable. Defect closure and reconstruction were accomplished. At one week follow-up, Baby A died of lung infection, while baby B remained well after one year. Conclusion: The complexity of surgical separation requires careful planning by a multidisciplinary team. Surgical separation of conjoined twins during the pandemic era has not been reported much in the literature, more reports are required to provide further insight. © 2021 The Authors |
Case report; Children; Conjoined twins separation; COVID-19; Omphalopagus conjoined twins |
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Elsevier Ltd |
22102612 |
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17549 |
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314 |
Kreshanti P., Putri N.T., Martin V.J., Sukasah C.L. |
36192866200;57192904294;57221635093;57218391534; |
The effectiveness of oral propranolol for infantile hemangioma on the head and neck region: A case series |
2021 |
International Journal of Surgery Case Reports |
84 |
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106120 |
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2 |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109354279&doi=10.1016%2fj.ijscr.2021.106120&partnerID=40&md5=d7e0ac8c9d5ad4046f2b8c78dc622412 |
Plastic Reconstructive and Aesthetic Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
Kreshanti, P., Plastic Reconstructive and Aesthetic Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Putri, N.T., Plastic Reconstructive and Aesthetic Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Martin, V.J., Plastic Reconstructive and Aesthetic Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Sukasah, C.L., Plastic Reconstructive and Aesthetic Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
Introduction: Infantile hemangioma is the most common tumor in infancy, with 60% occurring on the face and neck. A large tumor involving the facial region will cause significant aesthetic and functional impairment and isn't always easy to treat surgically. A non-invasive treatment is needed for this condition. Propranolol has recently been used as a choice of treatment in infantile hemangioma. Presentation of case: We presented two cases of large problematic infantile hemangioma that were successfully managed with oral propranolol. Discussion: Large problematic lesions that ulcerate and bleed often need surgery; however, a substantial defect resulting from surgery is tricky to reconstruct and can cause significant scar. Propranolol is used because of its efficacy and low risk characteristics. Conclusion: Propranolol is an effective treatment to reduce the need of surgical intervention in problematic hemangioma. © 2021 The Authors |
Case report; Infantile hemangioma; Propranolol; Surgery |
eye ointment; gentamicin; propranolol; blood pressure monitoring; capillary hemangioma; case report; cheek; child; clinical article; clinical effectiveness; clinical feature; dermatologist; drug dose increase; drug efficacy; ecchymosis; eye protection; eyelid; female; head and neck disease; heart rate measurement; human; lung function test; male; neoplasm; ophthalmologist; palpation; patient referral; preschool child; risk; Short Survey; skin color; skin ulcer; tumor volume |
Elsevier Ltd |
22102612 |
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Short Survey |
Q3 |
232 |
17549 |
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